# ALTAF AHMED MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861473027
- **Authorized official:** DR. ALTAF AHMED MD (OWNER)
- **Authorized official phone:** (505) 400-0133

## Contact information

- **Practice address:** 4441 E LOHMAN AVE, LAS CRUCES, NM 88011-8267
- **Practice address phone:** (505) 400-0133
- **Practice address fax:** (575) 233-6323
- **Mailing address:** PO BOX 15009, LAS CRUCES, NM 88004-5009
- **Mailing address phone:** (505) 400-0133
- **Mailing address fax:** (575) 233-6323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 02/09/2016
